A nurse in a prenatal clinic is caring for a client who wants to know her estimated date of delivery if her last menstrual period was on May 4, 2022.

What should the nurse respond?

Choice A rationale
Telling the client to “just relax” may come off as dismissive and may not address the client’s concerns or fears.
Choice B rationale
While this response shows empathy and support, it does not directly address the client’s concerns about the pelvic examination.
Choice C rationale
This response is not entirely accurate. While a pelvic exam can be part of the process when starting birth control, it is not always required.
Choice D rationale
This is the most appropriate response. By asking the client what part of the exam makes her most nervous, the nurse is acknowledging the client’s anxiety and opening up a dialogue to address her specific concerns.

Choice A rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious condition that can occur during pregnancy. Preeclampsia is characterized by high blood pressure and damage to organs such as the liver and kidneys. If a pregnant woman notices sudden or severe swelling in her face or hands, she should seek medical attention immediately.
Choice B rationale
Nausea and vomiting are common discomforts during the first trimester of pregnancy. They are often caused by hormonal changes and usually resolve by the second trimester. While they can be uncomfortable, they are not typically a sign of a serious problem.
Choice C rationale
Leukorrhea, or a thin, milky white vaginal discharge, is normal during pregnancy. It is caused by increased estrogen production and greater blood flow to the pelvic area. However, if the discharge changes in color, consistency, or smell, or if it is associated with itching or burning, it could be a sign of an infection and should be reported to a healthcare provider.
Choice D rationale
Increased urinary frequency is a common symptom in early pregnancy. It is caused by hormonal changes and increased blood flow to the kidneys. While it can be inconvenient, it is not typically a sign of a serious problem.